Individual provider · Type 1 NPI

Kelley Kyburz Mitchell, PT

Pediatric Physical Therapist · Marietta, GA

NPI number 1861551640 Active

Practice location

4005 Canton Rd
Marietta, GA 30066-2739

Fax (678) 668-7469

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X5199 (GA)
Pediatric Physical Therapist Primary 2251P0200X5199 (GA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1861551640

Kelley Kyburz Mitchell, PT's National Provider Identifier is 1861551640, issued on Dec 7, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Marietta, GA. The record was last updated on Mar 18, 2025.